ZTC AZIM PREMJI

INTERNAT UNIVERSITY.
ION INCIDENT / ACCIDENT PROJECT -
LANDSCA REPORTING, APU-BHOPAL
PE INVESTIGATION AND
SOLUTION
ANALYSIS
PVT.LTD.

1. OBJECTIVE
The objective of incident reporting, investigation & analysis is to conclude the direct and
underlying causes of an incident and to device the control measures to avoid the re- occurrence
of such incidents in future.

2. SCOPE
This standard operating procedure is applicable to all project sites / establishments of the
company.

3. RESPONSIBILITIES
In-charge Site HSE shall be responsible for reporting of all the incidents/accidents, which occur
at project site, to the Project/Site manager and Head QHSE. Investigation will be carried out joi
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involving execution team. Reporting and investigation at H.O. and establishments will be
conducted by In-charge HSE at head office.

4. ABBREVIATIONS / DEFINITIONS

● QHSE Quality, Health, Safety & Environment

● HSE Health, Safety and Environment

● PP&A Project Personnel & Administration

● BA Business Area

● BSD Business Support Departments

● RCA Root Cause Analysis

● DIMS Descon Integrated Management System

5. PROCEDURE
5.1 INCIDENT / ACCIDENT REPORTING

5.1.1 As soon as an incident occurs, the area In-charge will immediately inform
Project / Site Manager and In-charge Site HSE.
ZTC AZIM PREMJI
INTERNATI UNIVERSITY
ON INCIDENT / ACCIDENT PROJECT -
LANDSCAPE REPORTING, INVESTIGATION APU -BHOPAL
SOLUTION AND ANALYSIS
PVT.LTD

5.1.2 If an incident results into an injury or causes damage to the

company/Customers assets, In-charge Site HSE would classify the type of
injury and estimate the extent of damage. (HSE/FRM-10, Accident Report &
HSE/FRM-11, Final Accident Report)

5.1.3 If the injury is more than a first aid case, or cost of damage is more than
Rs.5000/=, In-charge Site HSE shall initiate the near miss / incident reporting
(HSE/FRM-31 Near Miss / Incident Report) and will bring it in the notice of
Project / Site Manager, Head QHSE and Incharge PP&A (H.O).

5.1.4 For a serious incident or any lost time injury/fatality case, the In-charge Site
HSE shall send a fax within 24 hrs to Head QHSE and Incharge PP&A (H.O)
by filling Initial Incident / Accident Report (HSE/FRM-15). He shall also
inform the Head QHSE through telephone.

5.1.5 In-charge Site HSE shall draft HSE Flyer (HSE/FRM-18), highlighting the
immediate cause of the incident/accident, gets it reviewed from Project / Site
Manager and display it at different locations on the site and dispatch its copies
to concerned BA/BSD and the Head QHSE within 24 hrs. of the happening of
incident.

5.1.6 Head QHSE shall brief the Head BA/BSD about lost time injury/ fatality
cases, serious incidents, first aid cases and near misses.

5.1.7 A complete report shall be prepared by In-charge Site HSE within 72 hours of
the incident. (HSE/FRM-11, Final Accident Report & HSE/FRM-32 Accident
Investigation Report)

5.1.8 After completion of the incident report, it’s copies shall be dispatched to Head
QHSE and Customer. One copy shall be maintained in record with In-charge
Site HSE.

5.1.9 The HSE In-charges of all Sites will issue a Weekly Report (HSE/FRM-12) to
Head Office, with one copy to Customer, if required.
ZTC AZIM PREMJI
INTERNATIO UNIVERSITY
N INCIDENT / ACCIDENT PROJECT -APU-
LANDSCAPE REPORTING, INVESTIGATION BHOPAL
SOLUTION AND ANALYSIS
PVT.LTD.

5.1.10 In the weekly/monthly progress meetings at site, In-charge Site HSE shall
brief the attendees about the incidents.

5.1.11 In-charge Site HSE shall maintain Injury Record Sheet (HSE/FRM-13), First
Aid Record Sheet (HSE/FRM-33) and Near Miss Record sheet (HSE/FRM-
35) at HSE office for analysis purpose.

5.2 INCIDENT / ACCIDENT INVESTIGATION

5.2.1 As soon as a serious incident occurs, the area In-charge and In-charge site HSE
shall rush to that specific location and would gather information about the
initial facts, which contributed to the incident.

5.2.2 Area In-charge shall take immediate corrective actions, by involving the In-
charge site HSE if required.

5.2.3 Area In-charge and In-charge site HSE would further investigate the incident
by getting statements from the people involved and eyewitnesses.

Root cause investigation or incident investigation committee to be formed

comprising of the concerned Supervisor and Incharge Site HSE shall visit the
site immediately but not later than the following day and the investigation
should start as soon as possible as :

● Quality of evidence may rapidly deteriorate with time.

● Delayed investigation is usually not as conclusive as those performed

immediately.

● Prompt investigation is a good demonstration of Management concern on

safety.

● To identify the causes of accidents so that action can be taken to prevent

recurrence.
ZTC AZIM PREMJI
INTERNATI UNIVERSITY
ON INCIDENT / ACCIDENT PROJECT -APU
LANDSCAPE REPORTING, INVESTIGATION BHOPAL
SOLUTION AND ANALYSIS
PVT.LTD.

● To establish the facts surrounding the accident so that the direct and

indirect cost can be established. It may help to motivate for prevention of

accident.

● For use in relation to potential Insurance Claims or litigation.

● To meet the relevant statutory requirements on injury and accident

reporting.

INVESTIGATION APPROACH:
The following approach is to be used by the Investigation Team at the scene of
the incident as soon as possible after the incident:

At the initial stage the team will gather and record all the facts, which may be
of interest in determining causes. They should avoid reaching conclusions too
early; it is a trap to be avoided.

Checklists may be useful but limitations should also be understood. The

team shall evaluate:

● Probable frequency of recurrence.

● Whether the act of negligence causing the accident was recognised and

tolerated or was not recognised at all until the time of accident.

● Evaluation for conditions of supervision, inspection and audit.

5.2.4 Based upon the basic root causes, area In-charge would prepare
recommendations / corrective actions, with the co-ordination of In-charge site
HSE, with fixed responsibilities & target dates and put best efforts for closeout
within the targets dates agreed upon.

5.2.5 A follow up for recommendations/corrective actions shall be carried out by In-

charge Site HSE from time to time. He shall inform the Project / Site Manager
and Head QHSE, for non-compliance.
ZTC AZIM PREMJI
INTERNA INCIDENT / ACCIDENT UNIVERSITY
TION REPORTING, INVESTIGATION PROJECT -APU-
LANDSCA BHOPAL
AND ANALYSIS
PE
SOLUTIO
N
PVT.LTD.

5.2.6 Line management would be accountable for the HSE management in their
specific areas for eliminating the causes of accident in a preventive manner.

5.3 INCIDENT / ACCIDENT ANALYSIS

5.3.1 In order to identify the underlying causes of an incident or accident root cause
analysis (RCA) shall be performed by In-charge Site HSE, based on the
information gathered from incident reports & investigation and compiled in
the form of a report.

5.3.2 After analysis and identification of problem, In-charge Site HSE shall inform
Project / Site Manager and Head QHSE, through a memo attached supported
with the analysis report which will be used for the risk control and record
purposes.

5.3.3 RCA report will be shared among the BA / BSD heads by Head QHSE and
discussed with top management in the management review meeting for
supporting the decision making process:

Refer SOP No. HSE Monitoring & Control (HSE/SOP-07).

5.3.4 After analysis and identification of weak areas, Head QHSE shall share his
recommendations with BA/BSD and Project team. Based on the historic trends
and projections a quarterly feedback will be shared with the top management
and BA Heads to focus on areas need improvement.
ZTC AZIM PREMJI
INTERNATI UNIVERSITY
ON INCIDENT / ACCIDENT PROJECT -APU-
LANDSCAPE REPORTING, INVESTIGATION BHOPAL
SOLUTION AND ANALYSIS
PVT.LTD.

6. RELATED DOCUMENTS

6.1 Accident Report

6.2 Final Accident Report
6.3 Weekly HSE Report
6.4 Injury Record Sheet
6.5 Projects HSE Statistics
6.6 Initial Incident / Accident Report
6.7 HSE Flyer
6.8 Near Miss / Incident Report
6.9 Accident Investigation Report
6.10 Accident Causes Checklist

WRITTEN BY:
INCHARGE HSE

APPROVED BY:
HEAD
QHSE